[abstract] MANAGEMENT OF INFECTED CHARCOT ARTHROPATHIES OF THE FOOT AND ANKLE

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[abstract] MANAGEMENT OF INFECTED CHARCOT ARTHROPATHIES OF THE FOOT AND ANKLE

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Title: [abstract] MANAGEMENT OF INFECTED CHARCOT ARTHROPATHIES OF THE FOOT AND ANKLE
Author: Strauss, MB; Weinstein, P
Abstract: BACKGROUND: Infected Charcot arthropathies (ICA's) of the foot and ankle are limb-threatening conditions. The foot surgery literature has failed to disclose any reported series dealing with this problem. This presentation describes the first author's experiences managing 20 patients with ICA's of the foot and ankle over a 15-year period. METHODS: Interventions included medical management, wound care, antibiotics, hyperbaric oxygen (HBO) therapy, and surgeries. Surgical interventions include debridement, stabilization and complex foot reconstructions. RESULTS: Healing was excellent (plantigrade foot with premorbid level of ambulation) in 9 feet (43percent); good (plantigrade foot with premorbid level of ambulation, small wound and/or use of braces) in 6 (29percent); fair (limited ambulation, and wounds which require on-going care) in two (9percent); and poor (below knee amputations) in 4 (19percent). Follow-ups, to date, range from 4 months to 12 years. CONCLUSION: Comprehensive management of ICA's of the foot and ankle has resulted in acceptable limb salvage and function in 72percent of the patients (excellent or good results) in our series of 21. HBO was a useful adjunct in controlling infection and achieving healing in all of the foot and ankle wounds. We feel that the results from our series provide an acceptable alternative to amputation, the traditional management of infected ICA's of the foot and ankle.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/359
Date: 1997

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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